Jenna Kimock, LCSW

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

44SL05705100 Issued in NJ

Practice address

4 Burnett CT
Flemington, NJ 08822-6912

Phone

(908) 216-0961

NPI assigned

Jul 14, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1184912933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BURNETT CT",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088226912",
            "telephone_number": "908-216-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BURNETT CT",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088226912",
            "telephone_number": "908-216-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMOCK",
        "first_name": "JENNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "44SL05705100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wajahat Hussain Khan, M.D.
• Vinipa Khatkar
• Samia Khondaker, PA-C
• Lisa M Killeen
• Charles R Kimble, LSW
• Kindredhomecare.Corp
• Melissa Ann Kleiman, L.C.S.W.
• Barbara Klein, M.H.S., L.C.A.D.C.
• Hannah Washington Klein, MD
• Martin Klein, MD

• Clinical Psychologist in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.